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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 3 LT 17Valli Vu Block 3 Lot 17 #015-341-16 Municipality of Anchorage Development Services Department -'.- - '- Building ,Safety DIv~on On-Site Water & Wastewaler Program. 4700 South Bragaw SL P.O. Box 1~0 Anchorage. AK ~g519-~50 www.d.anchorage.ak.us (907) 343-7904 Page I of On-Site Waetewater Disposal System and/or Well Inspection Report Permit Number. SWOIOO4g PID Number. 015--341--16 TOM TALASZ Wastewater System: D New [] Upgrade 6430 RIDGE: TRE:E: CIRCLE: · ANCHORAGE:. AK 99516 ABSORPTION FIELD (907) ,346-3073 ,3 IDe.p Trench mShollow Trench nBed nUound rlOther LEGAL DESGRIPTION ~' ~ 0.8 ~o~ ~ 8.9 17 ,3 VALLI VUE ESTATES #2 2.sg-4.gg ~ 6.0 - - - 0-0.,5 ~ 47 WELL: 13 New I:] Upgrade 2..5 ~t I - ~t ~t 564 ~. ~t D ,3034/ F'-810 ~ DE:NALI SL:'WE:R & DRAIN 4/4-6/2001 ~ ~I~'~ ~1~"~ ~'~ ~' ~'~ TANK SEPARATION DISTANCES .s.~u~ oHo~ O$.T.~. ~O~.r ~o .~pUc A~.o,'~Uo. Uft .o~g .~-/P'*~"~ ANCHORAGE TANK Tonk Field StoUon Tank 1000 we, 200'+ 200'+ - - 25% STEEL 2 - - - LIFT STATION Surface Water 100'+ 100'+ Lot Un. 5'+ 10'+ - - - s" k' wa'~I Foundation 5'+ 10'+ -- -- -- ~ ca' ~ ~ I~,~.~.~r ~ ~ ~t~ ek=~ '"3 Curtain Droln NI~NE KNOW; ~,~-~-I ~emarks: EXISTING SEPTIC TANK WAS COMPLETLEY BENCH MARK ABANDONED. TOP OF DECK (NORTHWEST CORNER:) ~-...d~,.i,,nc-..~....O- ~ S'c,.~a,,j O.~c,j~ · I*'-'~ ~ 100.00 2nd Department of Health and Human Services approval. -~;,o/._.......-_~ ,, ....... ...... Reviewed and approved by'~ t , ~-/o-0/ a e- /o-0 ~~ AS BUILT DRAWING P~' SW010049 - 015-$41-16 ~T, ~,.o ~,., - ~ / / -~~ ~ ~ MTI 70,5 29.1 -- / ,~ / ~ -- ~ C02 -- 51.5 46.3 / ~ / ~ ~ ~ / / ~~: ~E WAT[R S[~C[ UN[] / / /~u ~ I""~ ~o co.~u~o.. I CONSULTANTS, IN~,~ ~ PR~ FOR: PHONE NUMBS: P~ NUMBS: .~ ~ j/~[ · ~, ~, ......... ~**.~ ~ ~.~o.: ~ '. C~-7953 WLU-VUE [STAT[S SUa~:V:S:O. ~2; LOT ~7. SLOCK 3 %?,,"....~ ........ .';~ ~ o~ .o.~: ~[~o,...,o~~ AS-BUILT OF SEPTIC SYSTEM UPGRADE pERM~TNUUBER: AS B'L~../T D~k&~G PARC~.ID NUuBER SW01004g - 01~-~41-1 F~ G~E - 98.14 TOP OF T~K AT~ : J/ : ~P OF T~K AT I~ OF BUNG~ SE~IC TANK ~l~ Or BUNG AT AT IN~ - 95.~7 O~ -- 95.16 OR~I~ 0~E 97.g6-99.05 ~H I~ ~M OF ~CH ~_. .: ............ 4/9/2001 ~SI~ ~TER & WASTE~TER ~ ,' TO~ TA~SZ (907) 54e-~075 ~ oF 5 VA~-VUE ESTATES SUBDIVISION ~2; LOT 17, BLOCK 5 U~,, e..~ ........ .'~ PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRADE MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTE~NATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Apr 02, 2001 Expiration Date: Apr 02, 2002 Permit Number: SW010049 Legal Description:?.Al~ VUE ESTATES #2 BLK ."3 LT ~177 Design Engineer: 0041 AK Water & Wastawater Consultant Owner Name: TOM TALASZ Owner Address: 6430 RIDGE TREE CIR ANCHORAGE, AK 99516-6739 Parcel ID: 015-341-16 Site Address: 006430 RIDGE TREE Lot Size: 20914 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: ~ Issued By: Date:_ -' 2--0/ Municipality of Anchorage Development Services Department Building Safety DIv~lon On-Site Water & Wastewater Program 4700 South Bmgaw SL P.O. Box 196850 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (~07) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 01,5-;~41-15 Permit Number ~1,4/~1004{c~ Property owner(s) TOM TALASZ Mailing address(I) ~;/o CAREEN MUIR w/ DYNAMIC PROPERTIES Day phone 346-307.3 Mailing address (2) 3111 c STREET * ANCHORAGE. AK ~pCode 99503 Legal description (Lot, Block& Sub'd.) VALLI-VUE ESTATES S/O ~2: LOT 17. BLOCK 3 Legal desc~pflon (Section, Township & Range) Lot Size 3 !.3~:-. A~ 2o,914 THIS APPUCATION IS FOR: Sewer Only ~] Sewer and Well Sewer Upgrade · Number of Bedrooms THIS PROPERTY CONTAINS: Hot Tub []~ Swtmmlng Pool Therapy Pool [] Well Only []~ Water Storage Water Softening Unit I certify that the above Information is correct. I further certify that this application is being made for a Single Family Dwelling and Is In accordance with applicable Municipal codes. ALASKA WATER &: WASTEWATER CONSULTANTS~ INC. Permlt Fees: ,.~ c~,O Data of Payment: Receipt Number:.. Waiver Fees; Date of Payment: Receipt Number:.. ALASKA WATER & WASTEWATER CONSULTANTS, INC, ~ March 30, 2001 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Septic System Upgrade for Lot 17, Block 3, Valli-Vue Estates Subdivision #2 To whom it may concern: The existing 3 bedroom house is served by a community water system and a private septic system. The existing septic system consist of a 1000 gallon septic tank and a seepage pit type drainfield. The existing drainfield will not pass an adequacy test and must be upgraded prior to the sale of the house. A test hole was excavated east/southeast ofthe existing septic system. The proposed septic system will be designed around the 30 foot radius of this test hole. We are proposing that a new 1000 gallon septic tank and a deep trench type drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 0.8 gallons/day/fi2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 15 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/ft2 c. NumberofBedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 563 ft2 f. Total Depth: 11 feet (max.) g. Effective Depth: 6 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 55 feet long k. Effective absorption area-- 660 ft2 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: aknvwc.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPIIY: As can be seen on the attached topography site plan there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. /~ Sinccrel~l /f~[I Pres! :htkJ NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a soils log, and a 7page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com I i1~ ~ I/./ ~,RE SE~D ~ A COMMUN~ WA~R 2,> X X /// ~ / / / -":, /// X X /// ~/ / / I I 3 I ~ / V~-~E ~ f2 I / I v~-~[ ~ fz y ~ I I] L~ ~ 3; / .~; / ~ / / ,// / x ,/~~=,2 ~/ / ~/h' ~ I~ ~' ~~~ /// -') >7 ' F ~ /// /i ,' . ~,'..'.> ...... -~ ~.~ ~/2~/~oo~ ~ ........ ~ J.LM. r~ --. ~,~ ~S]~ WATER & ~STEWATER ~ '~' ¢~'~ TOM TA~SZ 346-3075 1 OF 2 ~ · · ~ D~RI~N: ~%*. C --7953 .': VA~-VUE ~TAT~5 ~/D ~2; LOT 17. BLOCK 3 ........ ~ o~ ,o.~: -~?~o,...~o~~ SITE P~N FOR SEPTIC SYSTEM UPGRADE ~ / / ~ - ~ _ ~~ / / ~ ~ c~o~ / ~~~ / ~d ~-/ ~SI~ ~TER & WAS~TER ~ ~ ~ONSULTANT~, IN~.' TOM TA~SZ (907) ~46-~075 2 OF 2 ~ ~ff ~y.~. Gornesse ~ D~CRI~N: ~0~ '~.. CE~ 7955 ...' VA~-VUE ESTATES S/D ~2; LOT 17, BLOCK 5 ~b~,~ ........... DESIGN OF SEPTIC SYSTEM UPGRADE AI.ASKA WATER & WASTEWATER CONSULTANTS, INC. PERFORMED FOR: TOU X~Z DA~: GM CL //r~ ~. , SW MH $H OH /~/ SM DEPTH TO GROUNDWATER DATE / D~ 5/25/2001 10 11 DATE RE~INg CLOCK NET TIHE WATER LEVEL NET DROP TINE (HINGES) RE'lNG (INCHES) ~2 ~12~lm ~ ~:~2 2 4:22 ~0 1~ ~ 4:22 4 4:52 ~0 4" 2" 14 5 4:55 16 17 18 19 PERCO~TION ~TE 15 .(HIN./INCH) PERC. HO~ DIA. 6' (INCHES) 20 TEST R~ BET~EN 6.5 ~. ~D 7.0 COHHENTS: PERC-HO~ W~ PRE-SO, ED FOR 4+ HOURS PERFORMED ~ A~ WA~R & W~ATER.~ dE~ ~ ~N~S. CER~ ~T ~IS W~ P~RFORMED IN ACCORD~CE WI~ ~L ~A~ ~D MUNICIPAL GUIDEENES IN E~CT ON DEPTH TO GROUNDWATER DATE DRY 5/25/2001 GRE/ ER ANCHORAGE AREA DOE, . JGH ~lJ~ Department of Environmental Quality ' ~'~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAM E 7~/~1~ LOCATION ~,t-~'- SEPTIC TANK: NUMBER OF DISTANCEFRoM WELl ~/?'~L), MANUFACTURER~:~ ~f~'~ MATERIAL('(/~¢¢- ~O /'70~7/ COMPARTMENTS INSIDE LENGTH INSIDE WIDTH -- LIQUID DEPTH ~- LIQUID CAPACITY /¢O0 .GALLONS. SEEPAGE PIT: NUMBER Of PITS DIAMETER ~- or WlDTH/~-'~,~ LENGTH~, DEPTH /~ MATERIAL~CZ*~'/~/~?J'~ CRIB SIZE: DIAMETER /¢ DEPTH ~] DISTANCE FROM: LINING WELL ABSORPTION AREA (WALL AREA) ~?/ SQ. FT. ADDITIONAL ABSORPTION WELL: ~/~ TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED / DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE ' SEWER LINE TANK SYSTEM REMARKS DISTANCES: DIAGRAM Of SYSTEM INSTALLED BY: ~,~A~. /}~d~-~ PIPE MATERIAL: ~ fg/~/J?L//~~2,U LOT SLOPE: REMARKS: ~-~X3 t'~- Form NO. EQ-031 APPROVED ,~t~. g4./¢~.~ ~¢4)-~ G,A,A.B. GREATER ANCHOrAgE ArEA BOROUGH, ~ ~: ~ I WAGE DISPOSAL SYSTEM -- APPLICATION AND ~'~' DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO' 3330 "C" STREET ANCHORAGE, ALASKA 99~03 NAME OF APPLICANT INSTALLATION LOCATION TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY · / . SOIL TEST RESULTS IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED SEPTIC TANK TO SEEPAGE PIT WALl SEPTIC TANK SEEPAGE PIT FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ' ALSO CONSIDER AREA WELLS. SEEPAGE PIT CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL EIACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2B-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS iN ACCORDANCE WITH SAID CODE. GREATER ANCHORAGE AREA BOROUGH DEPARTMEHT OF ENVIRONMFNTAL OU2!.[TY 3330 "C Street ANCHORAGE, ,ALASKA 99503 Performed For '-T-tn~EP~ Legal Description: Lot IT Block_ ~ This Form Reports Soils Log_)s_ - Soil Test Must Be Lo§ged To 4' Depth Feet Soil Characteristics 14-- Encountered? Depth? Was Ground Water If Yes, At What ?R~S Dated Performed Subdivision ~/~bLi~ Percolation Test Below Proposed Seepage System Reading Date Gross Time ~ Net Time I Percolation Rate Minute Proposed Installation: Seepage Pit Depth I Net Dropt to H20 1 Drain Field Depth of Inlet }eat~ to Bottom of Pit or Trench'- T~st Performed ~'i .... -~__~ Date Certified BY: '- + ~-~--~ Date:- _ ....... Municipality of Anchorage Development Services Department Bullding Safety Dlvlslon On-Sita Water & Wastewater Program 4700 South Bragaw SL P.0. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING · Parcel I.D. 015-341-16 1. GENERAL INFORMATION Expiration Date:. ~ '- / O - 0 .~. Completelegaldescription VALLI VUE ESTATES SUBDIVISION #2; LOT 17, BLOCK 3, Location (site address or directions) 6430 RIDGE TREE CIRCLE * ANCHORAGE, AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address TOM TALASZ Day phone 6430 RIDGE TREE CIRCLE * ANCHORAGE, AK 99516 Dayphone 346-3073 CAREEN UUIR w/ DYNAMIC PROPER~ES Dayphone 3111 C STREET * ANCHORAGE, AK 99503 261-7600 Unless o~orwiso requostod, HAA will be held by DSD for plckup. 2. NUMBER OF BEDROOMS: 3 3. 'i~'PE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL'. Individual Well [] Individual On-sita [] Individual Water Storage [] Individual Holding lank [] Community Class A Well [] Community On-slta [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional civil engineer registered In the State of AJas~. Cer'dficates of Health Authority Approval are required for the transfer of title (except between spouses) for prepertJes served by a single family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeownem. Ce~ficates of Health Authority Approval are valid for g0 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties sewed by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions In the professional engineer's wor~. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $2,480.00 at, or pdor to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by rny seal affixed hereto and as of the validation date shown below, I varify that my Invesb'gation, based on procedum~ outlined In the Health Authori~ Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system Is(am) safe, functional and adequate for the numbar of bedrooms and (ypo of structure lndicated hemin. I further verify that based on the information obtained from the Munldpali(y of Anchorage files and from my Investigab'on and Inspection, the on-site water supply and/or wastewater disposal system Is(am) in compliance with all applicable Municipal and State codes, ordinances, and regulations In effecl at the time of Instal!alien. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 337- 6179 Engineer's Comments: In conducting this e~aluaffon, AWWC, Inc. a~lempted to I~Z~fcle a thorough, conscientious engineering analysis of the system In accordance wfth ADEC and MOA DSD Guidelines & RegulaJfcns. The reperted results descrlZ~d the performance of the system under tho conditions encountored al the time of the to.st, and separat~on dispenses measured to readi~' Identifiable features. Tho operational lifo of all wits and septic systems depend on the Iocal rolls cond~tYon, groundwater levels that may Jluctuate duting the year, and the water usage of the faml~, being sen/ed by the system. These conditions are outside tho co~b~ of the evaluator of the s~tem. Eatisfacto~y test results do not guarantee future perlon'nence of tho system, nor (fo they guarantee that there are no hidden defects or encreachmen~s. AWWC, Inc. can therefore not provide any warren~y or futore estimate of how long the system will CO~ltinue to meet tho operetienal requlrernents of the ADEC er MOA DSD. Tho c~ntent of this report Is for tho sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or perly Is not authorized, nor ~11 It confer any I~al tight whatsoever. 5. DSD SIGNATURE ~ Approved for Disapproved. bedrooms. Conditional approval for Attachments: HAA Checldist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other Odglnal Certificate Date: J"/' - / 0 - 0 [ Municipality of Anchorage Development Services Department Or~Site Water & Wastevmter Program 4700 8outh 6tagaw bt, P.O. Box 196650 Attch~age, AK g9519.6650 HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescflp~ VN.U VUE ESTATES S/D 1~2; LOT 17, BLOCK 3 Pan:ellD: 015-341-16 A. WELL DATA COMMUNITY WATER SYSTEM ifA, B, or C provide wen Log (Y/N) Wen typeqouuu.nY Date completed Sanfimy ~eal (Y/N) ~ prope~/N) Total clepl~ Cased te__ft. ~ belght (above ground) FROM WELL ~ ~...~ AT INSPECTION .it. .ft. .g.p.m. .g.p.m. WATER ~AMPLE RESULTS: Coliform colonies/100 mL h"/~-~ SEPTIC/HOLDING TANK DATA Tank Type/Ma~ :~l t. EL Tankalze. 10oo .gaL Number of Comparlmenls FoundaUon deanout (Y/N) YES Date of pumping NEW 2 Dapresalon over tank (Y/N) NO Pumper in. Date Instetled4/4-6/2om Ch~anoute (Y/N) YES I-ngh water ah~n (Y/N) N/A C. ABSORPTION FIELD DATA Date rate,ed ¢/4-8/2OOl sou mung Leng~ 47 It. Width 2.5 ft. Totaldeplh .9-10 ft. Eff. ebso~fionarea 564 fta Molllteringtube YES Date of adequacy test NEW Results (Pass/Fall). - Fluid del=Ih In absorption field before test - In. Water added - gal. Elap~d Time: - min. Final fluid depth - In. Absoq~on rate Any mJu~mnaUon treatment (past 12 mo.) (Y/N & type) NONE KNOWN System type DEEP TRENCH Gravel below pipe 6.0 Dap _r~__!on overfleld NO For 3 bedrooms Newdepth - in. - g.p.d. fi'yes, ONe date - D. UFT STATION 'Pump on' level et In. 'Pump . High water elarm level at In. ~ Cycles tested Meets elmm & circuit requirements? 8eptio tank/lift ~tetion on lot. Absorption field on lot, Public sewer main E. SEPARATION DISTANCE~ SEPARATION DISTANCES FROM WEU. ONLOTTO: COMMUNITY WATER SYSTEM On adjacent lots ...---- Public sewer nmnhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10% Water sewloe line lO'+ Wells on adjacent lots 2oo'+ SEPARATION DISTANCE FROM ABSORPTION RELD ON LOT TO: Pmpe~y line lO'+ Building foundation 10'+ Water ~en~ne line 10'+ Surface water 100'+ Cmteln drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENT~ Absoq3tion ~eld 5'+ Sur[ace water lOO'+ Water main. 10% Ddveway, parklng/vehlctesterage 10'+ G. ENGINEER'8 CERTIFICATION I cerfffy that I have determined ~hmugh field Inspections end review of Monlclpal records ~hat ~he above systems are In conformance wlJh MOA HAA guidelines In effect on ~hls date. JEFFREY A. GARNESS Date of Payment. ~t*q-OI Recelpt Number ~rT~(~ Waiver Fee $, Date of Payment Receipt Number GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received July 26, 1976 Time of Inspection~ Date of IQspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. l. Approval requested by: Alaska Pacific Bank Mailing Address: Post Office Box 420 Phone: 276-3110 2. Property Owner: David Burlingham Phone: Mailing Address: % Thomas Talasz 349-4740 for appointment 3. Legal Description: Lot 17 Block 3 Valli Vue #2 4. Location: 6430 Ridge Tree Drive Type of facility to be inspected Single Family Well Data: ~ ~a~ A. Type ~~- B. Depth C. Construction Sewage Disposal System: A. Installed 1974 C. Septic Tank: 1. D. Seepage Pit: 1. No. of bedrooms 3 D. Bacterial Analysis On-site system Size /~90 ~ 2. Manufacturer Absorption Area ~! 2Z~ 2. Material E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line ~-- B. Foundation to septic tank C. Absorption area to nearest lot line Total length of lines , Absorption area , Other contamination (~ ! , Absorption area --- ., Sewer Lines /6- / EQ-034 (1/74) Page 1 of two pages Page 2 of two~ pages - Re¢~'st for Approval of Individual S~'Xer & Water Facilities L~gal Description Lot 17 Block 3 Valli Vue 92 Comments Approved /~ /'/~.//~./.,~03X Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 3330 REQUEST FOR INDIVIDUAL SEWER GREATER ANCHORAGE AREA BOROUGH DePartment of Environmental qualit~ "C" St., Anchorage, A1 aska 99503 -~Clt~q~l~Op ANCHO~GE DEPT. OF HEAL~ & ENVIRONMENTAL PROTECTION APPROVAL OF & WATER FACILITIES JUL 26 1976 R E CcF-olyE Type of InsPection: CMRO VA FHA 2. ProPerty Owner: __Ma~ling Address: Day Phone 4. Name of Lending Institution: ~~ ~.~.~~ Mailing Address: ~¢~Y¢~ Ph(ne ,~',-~//¢ 5. Name of Realtor or Agent: ¢~¢~~¢¢_U~~*~~.. _ Mailing Address: P h o ne ~-- ~// 6. Legal Description: L o oat, on: ~ ~7<~.~ )~ 7. Type ilit; to ;~inspected: No. 8. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served Bdrms. ~ If Individual, depth of well EQ-037 Sewage Disposal System Type of system: Public Utility Individual on-site) If Individual, date of installation /~///~//